Texas Children's® Link Provider Portal
Texas Children's® Link is a web-based provider portal for contracted providers that allows secure, convenient 24-hour access to our member’s information. Through the Provider Portal, you can view a Texas Children’s Health Plan member’s eligibility, check the status of your claim, submit an authorization, look up an explanation for CPT, diagnosis, or modifier codes, and more.
Getting Started
Obtaining access for you and your practice is simple! Click on the “Request Access” button to complete the request form. After your request is submitted, please allow 7-10 business days for processing. We recommend setting up challenge questions to provide an easier way to reset your password, click here to learn more.
If you have questions or would like additional information, please contact the Texas Children’s Provider Relations team:
- Phone: 832-828-1004
- Toll free: 1-800-731-8527
- Hours: Monday – Friday, 8 a.m. – 5 p.m., excluding holidays
- Email: ProviderRelations@texaschildrens.org
To learn more about Texas Children’s® Link, you can view helpful ‘How-To Videos’ accessible on the portal under Quick Links.
Portal Use for Non-Contracted Providers
Texas Children’s Health Plan has a commitment to provide maximum security of member information, and a pledge to adhere to HIPAA privacy guidelines.
To inquire about becoming a contracted provider please visit this page https://www.texaschildrenshealthplan.org/providers/becoming-a-participating-provider.
Highlights of Texas Children’s® Link
Check Claim Status
Verify Member Eligibility
Check Authorization Status
Authorization Requests, Submissions, and Utilization Guidelines
Claims Appeal Submissions
Batch Claims Submissions
Provider Education Material
Clinical Practice Guidelines
View important information about your patient’s care at Texas Children’s® Hospital, including discharge, consult and operative reports, imaging reports, lab results, medications, family history, allergies, problem list and more
Receive correspondence and messages from Texas Children’s® providers
View and receive notifications about inpatient admissions, discharges, emergency room encounters and urgent care visits
View upcoming appointments
View referral status
Texas Children’s Link Access by Role
Features | Provider | Clinical User | Non-Clinical User |
---|---|---|---|
Search and access all Texas Children’s patients | ✓ | ||
Submit, cancel, and appeal pre-authorization requests to TCHP | ✓ | ✓ | |
Search and access all TCHP members | ✓ | ✓ | ✓ |
Submit, review, and appeal claims to TCHP | ✓ | ✓ | ✓ |
View TCHP Remittance Advice | ✓ | ✓ | ✓ |
View TCHP member eligibility and benefits | ✓ | ✓ | ✓ |
View event dashboard to quickly view patient events | ✓ | ✓ | ✓ |
View demographics | ✓ | ✓ | ✓ |
View upcoming TCH appointments | ✓ | ✓ | ✓ |
Use InBasket communication tool | ✓ | ✓ | ✓ |